Provider Demographics
NPI:1215673819
Name:HOFFMAN, JUSTIN JOHN (LCSW)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:JOHN
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 N WASHINGTON ST APT 25
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1435
Mailing Address - Country:US
Mailing Address - Phone:954-309-2559
Mailing Address - Fax:
Practice Address - Street 1:1651 N WASHINGTON ST APT 25
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-1435
Practice Address - Country:US
Practice Address - Phone:954-309-2559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-07
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099279001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical